Detection and control of hypertension: challenge to all nurses. The Task Force members strongly recommend that every nurse become accountable to the hypertensive population- whether detected or undetected- to get them into the health care system. For concrete help with this major undertaking, every nurse should study the report of the Task Force when it become available.


Assessing alcoholic patients.

Assessing alcoholic patients.


Rap sessions for nurse practitioner students.


What the National Labor Relations Act really says.


Deaf but not mute.

Deaf but not mute.


Reducing discomfort from IM injections.

Reducing discomfort from IM injections.


Primary nursing in day-by-day practice.

Primary nursing in day-by-day practice.


Pathways to practice-part I.

Pathways to practice-part I.


What does garnisheeing involve?

What does garnisheeing involve?


Blood-gas and acid-base concepts in respiratory care. Programmed instruction.


Arresting premature labor.

Arresting premature labor.


Why set up a revocable trust?

Why set up a revocable trust?


Editorial: Current shock.

Editorial: Current shock.


Do's and don'ts for the patient on levodopa therapy.


Emergency nursing of near-drowning victims.


Drowning and near-drowning etiology and pathophysiology.


Ovulation method of birth control.

Ovulation method of birth control.


Analyzing nursing's work-related injuries.


Two New York nurses debate the NYSNA 1985 proposal.


Working with schizophrenic patients. Four A's: a guide to one-to-one relationships.


Hemodialysis at camp.

Hemodialysis at camp.


Fiberoptic advances: visualizing the pancreatic and biliary ducts.


Dan is schizophrenic. Possible causes, probable course.


Schizophrenic patients: activity groups as therapy.


Pathways to practice- Part II.

Pathways to practice- Part II.


The dying are the living.

The dying are the living.


To lessen pain: relaxation and rhythmic breathing.


Dear pain...

Dear pain...


Conflict - resolution.

Conflict - resolution.


Young doctors pledge to fight NLRB ruling.


Editorial: Entry into professional practice--a national view.


Editorial: Dependent professionals?

Editorial: Dependent professionals?


New certification approach to be initiated.


Standards, collective bargaining, restructuring important issues for nursing service directors.


Helping the asthmatic child build a healthy self-image.


A course for teachers: school problems of the child with asthma.


New frontiers in the treatment of asthma in children.


A pioneer program: the family asthma program.


Feelings about certification rooted in values.


Thermocouple-pyrometer data for evaluating inhospital packaging material.


Why a mandate for the circulator.

Why a mandate for the circulator.


An all-RN OR staff.

An all-RN OR staff.


Remember... to your patient you don't really look like you think you look.


Standards of administrative nursing practice: operating room.


Spinal stimulation pre and postop care.

Spinal stimulation pre and postop care.


Spinal cord stimulation.

Spinal cord stimulation.


OR supervisor's role in planning the surgical suite.


Specialty office surgery.

Specialty office surgery.


The nurse's role in office surgery.

The nurse's role in office surgery.


Floor cleaning effect on wound infections.


Background of medical device legislation.


Evaluation of inservice programs.

Evaluation of inservice programs.


Lightning injuries.

Lightning injuries.


Quality care administration's concern.

Quality care administration's concern.


Sunscreen agents.

Sunscreen agents.


Drugs and PGO waves in the lateral geniculate body of the curarized cat. IV. The effects of acetylcholine, GABA and benzodiazepines on PGO wave activity. The possible involvement of cholinergic mechanisms and of GABA in the modulation and generation of ponto-geniculo-occipital (PGO) waves was studied using PGO waves induced by the benzoquinolizine derivative, Ro 4-1284 ( =PGO(1284)), and by p-chlorophenylalanine (=PGO(PCPA)), and continuously recorded and counted in the lateral geniculate bodies of unanaesthetized immobilized cats. Atropine had no significant effect on PGO(1284) but markedly depressed the density of PGO(PCPA) this effect of atropine was absent when the synthesis of noradrenaline (NA) was inhibited in addition to that of 5-hydroxytryptamine (5-HT). Arecoline and eserine at a low dose increased the density of PGO(PCPA). Both the stimulation of nicotinic receptors by nicotine and their blockade by mecamylamine reduced the amplitude of PGO(1284) and PGO(PCPA). Eserine, 0.3 mg kg(-1) i.v., had a similar effect. GABA injected into a lateral brain ventricle augmented the density of PGO(PCPA) but not the PGO(1284). Increasing the level of endogenous GABA by amino oxyacetic acid (AOAA) and by hydroxylamine affected PGO waves like GABA. Bicuculline tended to decrease the density of PGO(PCPA). Chlordiazepoxide increased the density of PGO(1284) and, more markedly, that of PGO(PCPA). The latter effect was prevented by atropine and by lesions placed in the amygdala, the septum and medial forebrain bundle several days prior to the acute experiment. It is concluded that synapse with nicotinic cholinergic receptors are prsent either in the neuronal network of the pontine reticular cells which trigger the PGO waves or within the pathway leading from this trigger area to the lateral geniculate body or within this structure. It is tentatively suggested that the noradrenergic neurones which depress the formaton of PGO waves, are under a modulating influence from limbic forebrain structures. The suggested pathway originating in the forebrain and projecting to the locus coeruleus seems to be inhibitory for the NA-neurones involved in the modulation of PGO waves and to contain muscarinic cholinergic and GABA-ergic synapse. Chlordiazepoxide might augment the density of PGO(PCPA) either by activating this pathway in the limbic forebrain or by enhancing GABA-ergic transmission at its ending.


A case of meningococcal meningitis.

A case of meningococcal meningitis.


"The nurses" among the students.

"The nurses" among the students.


Emergency surgical service: a necessity of the nuclear society.


Tertiary undergraduate nursing in N.S.W. Cumberland sets out.


Tuberculosis and the Aboriginal Territorian.


A legal light on the family.

A legal light on the family.


The Ogden Community Heart Club.

The Ogden Community Heart Club.


Editorial: The inheritance.

Editorial: The inheritance.


The rehabilitation nurse.

The rehabilitation nurse.


Focus on nutrition. Impact of nutrition on pre- and post-natal growth.


Nutrition in the Australian community.

Nutrition in the Australian community.


Intermittent catheterization in neurogenic bladder rehabilitation.


Long-segment Hirschsprung's disease.

Long-segment Hirschsprung's disease.


Stresses in paediatric nursing.

Stresses in paediatric nursing.


Paediatric nurses of the future.

Paediatric nurses of the future.


Nuclear medicine in paediatrics: "the inside story".


Children in hospital.

Children in hospital.


Recent advances in paediatric radiology.


Advances in management of the neonate.

Advances in management of the neonate.


Advances in nursing management of the neonate.


Education in rehabilitation.

Education in rehabilitation.


Social work (spinal injuries).

Social work (spinal injuries).


Women's Health Centre.

Women's Health Centre.


A caring profession.

A caring profession.


The concept of the specialist health nurse.


The emergency surgical service.

The emergency surgical service.


Administration and co-ordination of services and facilities for the aged in Murray Bridge.


As others see us.

As others see us.


History of paraplegia.

History of paraplegia.


Treatment of multiple sclerosis.

Treatment of multiple sclerosis.


Botanists probe mystery of 'sneeze-makers'.


Euthanasia in the context of the population debate.


Disease transmission.

Disease transmission.


Signs and symptoms of drug abuse.

Signs and symptoms of drug abuse.


Spinal injury patients' vocational rehabilitation.


Role of nurse and midwife in MCH/family planning program.


Evaluation in nursing education.

Evaluation in nursing education.


Jackson's home birth.

Jackson's home birth.


Co-operative venture in medical teaching helps kidney sufferers.


California nursing: an ethnic point of view.


Editorial: The structure of our organization.


California nursing: predictions for the future.


Interactions between 5-hydroxytryptamine and platelet lipid fractions.


Internship assessment or how to succeed on the district.


The relationship between daily life changes, physical symptoms, and body temperature range.


The judgment process in nursing.

The judgment process in nursing.


Sudden death and coronary heart disease.


Freedom of access to information and the right of privacy.


Towards a better understanding of cot death.


PPA and its wider function.

PPA and its wider function.


Nursing the mentally handicapped.

Nursing the mentally handicapped.


Curriculum change in nursing education: sources of knowledge utilized.


Evolving ethical concepts for nursing.

Evolving ethical concepts for nursing.


Community and world health.

Community and world health.


Nursing--skilled work or a profession?

Nursing--skilled work or a profession?


Feminism, attitudes, and nursing careers.


Effects of methicillin, cephaloridine and cephalothin on the growth, lysis and viability of some methicillin-resistant strains of Staphylococcus aureus at different temperatures.


Enhanced transformability with heterospecific deoxyribonucleic acid in a Streptococcus sanguis mutant impaired in ribonucleic acid polymerase activity. We have induced with nitrosoguanidine in Streptococcus sanguis a mutation conferring inability to grow and synthesize ribonucleic acid (RNA) at 42 C, the optimal temperature for growth and RNA synthesis in the parental strain. The mutation (ts) is transferable via transforming deoxyribonucleic acid (DNA) and is replaceable by its wild-type allele with fairly high efficiency in transformation reactions. The ts mutation is unlinked to the sites of mutation conferring resistance of rifampin (rifr) and streptolydigin (stgr), known to affect the beta subunit of DNA-dependent RNA polymerase. Extracts from strains carrying the ts mutation are more sensitive to elevated temperatures than are parental extracts when assayed for DNA-dependent RNA polymerase. The conclusion that the mutation causes a temperature-sensitive defect in some component of this enzyme (other than beta) is supported by the finding that the polymerase activity of a heat-inactivated ts stgr extract cannot be increased by addition of an unheated ts stgs extract, which is itself inactivated by streptolydigin. S. sanguis recipients carrying the ts mutation are highly transformable with heterospecific DNA, especially at the restrictive temperature.


Editorial: Remembrances of the American bicentennial: enduring words in cardiology and critical care.


Editorial: The concept of nursing literacy.


A charter for caring.

A charter for caring.


The practicum--a learning experience in integration and change.


Arrhythmias complicating an acute myocardial infarction: a self-teaching program.


A model for nursing and nursology.

A model for nursing and nursology.


The diagnosis and treatment of acute respiratory failure in sepsis. Early diagnosis is mandatory in the adult respiratory distress syndromes, particularly in sepsis, and therapy should begin as soon as there is a reasonable suspicion that this problem is developing. Blood-gas changes cannot usually be appreciated clinically until the respiratory problem is quite severe. Accordingly, serial blood-gas analyses should be performed in any septic patient who has an increased chance of developing ARDS. Any deterioration in the patient's condition, blood gases, or ventilatory effort should be considered as an indication for early ventilatory assistance. Control of the primary process, high tidal volumes, PEEP, and careful dehydration are the mainstays of therapy. Serial blood gases and careful observation of the patient's effective compliance are essential to determine the optimal ventilator settings and the optimal PEEP. Early administration of massive steroids should be considered if the patient fails to respond to correction of the underlying etiologic problem (particularly sepsis), careful progressive dehydration, and optimal expansion of the alveoli (using high tidal volumes and/or PEEP).


Dependency and vulnerability in the nurse/patient situation.


A study in A-V block.

A study in A-V block.


Nursing at the crossroads. Which way to turn? A look at the model of a nurse practitioner.


Digitalis excess mimicking the sick sinus syndrome. Symptomatic bradycardia-tachycardia is often a feature of sick sinus syndrome. However, when alternating brady-tachycardia results from excessive use of digitalis preparations or electrolyte imbalance, it is iatrogenic and therefore not considered to be SSS per se. Sick sinus syndrome is applied to the following arrhythmias providing they are not iatrogenically induced: (1) sinus bradycardia usually unresponsive to atropine therapy or exercise, (2) sino-atrial block or arrest with long pauses, and (3) alternating bradycardia or tachycardia.


An experimental scheme in nurse education.


Pulmonary infections.

Pulmonary infections. It is likely that nosocomial pneumonias will continue to be a problem in critical-care areas. If there are to be breakthroughs, they will probably come in the area of prevention, not treatment. Scrupulously sterile techniques when using inhalation therapy equipment, suctioning patients, and changing tracheal tubes remains the mainstay of prevention. Early recognition and aggressive therapy of nosocomial pneumonias have had limited success in decreasing morbidity and mortality rates.


Diagnosis and treatment of infections of the urinary tract. Infection of the urinary tract is life-threatening, particularly in the patient who is already critically ill. Avoidance of instrumentation, meticulous catheter care, and frequent bacterial screening are required. Prophylactic antibiotics should probably be avoided in favor of rapid, adequate treatment with the indicated antibiotic when infection is identified. Suprapubic aspiration of urine is a significant advance in diagnosis, providing rapid, accurate information with no increased risks.


Sepsis-the Wayne State University Symposium--Part II. The increasing incidence of sepsis and antibiotic resistance.


Hepatobiliary complications of sepsis.

Hepatobiliary complications of sepsis. Jaundice developing in critically ill or injuried patients should probably be thought of as a manifestation of severe sepsis until proven otherwise. Septic jaundice occurs in about 50 to 60 per cent of patients with generalized peritonitis. Biochemically, jaundice associated with bilirubin (particularly the direct fraction) and liver enzymes (particularly the alkaline phosphatase) and a decrease in the serum albumin. Histologically there is intrahepatic cholestasis. The etiology of these changes in unknown, but they appear to be due to an end organ response to sepsis. Optimal treatment involves control of the sepsis and maintenance of a glood flow of well-oxygenated blood to the liver.


Designing health care facilities for the elderly.


Keep in touch.

Keep in touch.


Preventive labor relations--the art of making unions unnecessary.


For comfort and safety! A buying guide for furnishings in health care facilities.


Management of patients with contagious illnesses.


Quality of life.

Quality of life.


Evaluating facility obsolence.

Evaluating facility obsolence.


The Life Safety Code--can the health care industry live with it?


Should the private sector subsidize the government?


Do numbers have faces?

Do numbers have faces?


A growing occupation: the training director in the skilled facility.


Staffing by patient classification.

Staffing by patient classification.


Assessing your health care management.

Assessing your health care management.


A method for cervical spinal mobilization.


The training and measurement of sensory literacy in relation to osteopathic structural and palpatory diagnosis.


Portal decompression with the use of internal jugular autogenous vein for interposition between the porta and the inferior vena cava: report of a case.


Management of thyroid neoplasms.

Management of thyroid neoplasms.


The manipulative approach to the management of primary dysmenorrhea.


Is blood blood?

Is blood blood?


Antistaphylococcal activity and beta-lactamase resistance of newer cephalosporins. Four newer cephalosporins (cefazolin, cefamandole, SK&F 59962, and cefoxitin) were investigated for determination of their antistaphylococcal activity and relative stability to staphylococcal beta-lactamase (penicillinase). Crude preparations of beta-lactamase from recent clinical isolates of Staphylococcus aureus were used. Cefamandole and SK&F 59962 were highly active against both large and small inocula of staphylococci and were resistant to staphylococcal beta-lactamase. Cefoxitin, although resistant to beta-lactamase, possessed less antibacterial potency but was still approximately as active as methicillin. Cefazolin was somewhat more susceptible to staphylococcal beta-lactamase than the other three agents and resembled cephaloridine in this respect. With minor exceptions, a correlation was found between the susceptibility of different agents to beta-lactamase and the magnitude of the effect of inoculum size when the drugs were tested against large and small inocula of staphylococci.


Nafcillin-gentamicin synergism in experimental staphylococcal endocarditis. The bactericidal rate of nafcillin and the combination of nafcillin and gentamicin against Staphylococcus aureus were compared in vitro and in experimental endocarditis. The combination proved synergistic against 8 strains of S. aureus in broth. In rabbits with S. aureus endocarditis, the organism was eradicated more rapidly from cardiac vegetations when animals were treated with the combination than with nafcillin alone. Gentamicin alone was ineffective. This combination is under study in the therapy of acute endocarditis caused by penicillinase-producing S. aureus.


Emergency care of the neurosurgical patient in a community hospital.


Rehabilitating dysphagia: mechanica, paralytica, pseudobulbar.


Carotid cavernous sinus fistula.

Carotid cavernous sinus fistula.


How the brain recognizes and responds to shock.


A new method for managing extracellular fluid accumulations in central nervous system disorders.


Pre- and postoperative care of patients undergoing transsphenoidal pituitary surgery.


Presidential address.

Presidential address.


Editorial: Phasing out practical nursing.


Medical landmarks in cancer control.

Medical landmarks in cancer control.


Coping with cancer.

Coping with cancer.


The essence of cancer nursing.

The essence of cancer nursing.


Specialized care of the spinal cord injured patient. Part 11: bowel and bladder programs.


Editorial: Mobilization for immunization.


The family with muscular dystrophy.

The family with muscular dystrophy.


Part III: Activities of daily living. Specialized care of the spinal cord injured patient.


Developing a measure of the quality of nursing care.


How to change eating habits.

How to change eating habits.


The role of the school nurse in cancer control.


Quality assurance--a general hospital meets the challenge.


What about your rights?

What about your rights?


Coping with Pa's jet lag.

Coping with Pa's jet lag.


When your patient is homosexual.

When your patient is homosexual.


A challenge to responsibility.

A challenge to responsibility.


Genetic and molecular characterisation of resistance determinants in methicillin-resistant Staphylococcus-aureus. A genetic analysis of resistance to antibiotics in methicillin-resistant Staphylococcus aureus was performed. Demonstration of plasmid-specific DNA either in transductants that had received antibiotic-resistance markers from multiply-resistant strains, or in segregants of methicillin-resistant strains that had lost unstable determinants except the one under study, indicated that markers of resistance to penicillin, chloramphenicol and neomycin are present on separate, mutually compatible plasmids. Absence of covalently closed circular DNA was demonstrated in transductants that were resistant to methicillin, tetracycline, erythromycin and streptomycin, as well as in segregants that had lost the penicillinase, chloramphenicol and neomycin plasmid, but were still resistant to methicillin, tetracycline, erythromycin, streptomycin and the sulphonamides. Analysis of plasmid DNA either in a 5-20% neutral sucrose gradient or by electron microscopy revealed the presence of three readily distinguishable plasmids. The molecular weights of these plasmids were estimated by comparing the sedimentation rate constants with those of known reference plasmids and by contour-length measurements. The molecular weight of the penicillinase plasmid was estimated to be 20 X 10(6) daltons, that of the chloramphenicol plasmid 3 X 10(6) daltons and that of the plasmid carrying the neomycin resistance marker 37 X 10(6) daltons.


Psychological roots of fear in Jamaica now.


An exercise in patient classification as a means of calculating staffing requirements U.H.W.I. Mona.


In vitro and in vivo effects of kasugamycin on Leptospira icterohaemorrhagiae.


The future of the nursing profession: computer technology and clinical nursing practice.


Educating psychiatric nurses for the future.


Editorial: Bonding.

Editorial: Bonding.


Personal opinion: of human bondage.

Personal opinion: of human bondage.


Preventive geriatric medicine.

Preventive geriatric medicine.


Student units--a new concept of health visitor training.


Editorial: The stress and strain of labour.


An obstetrician's view of pain.

An obstetrician's view of pain.


Communicable diseases. Part I.

Communicable diseases. Part I.


Puerperal sterilisation.

Puerperal sterilisation.


The price of knowledge.

The price of knowledge.


Case study: quadruplets.

Case study: quadruplets.


Preparing today's midwife educator & instructor.


Revolutionary methods in childbirth.

Revolutionary methods in childbirth.


Midwives, management and legislation--a discussion of some recent acts and bills.


Midwives and the EEC.

Midwives and the EEC.


Case study: a premature baby with cri-du-chat syndrome.


Structural aspects of the delivery setting and nurse practitioner performance.


Navajos can and do keep health care appointments.


Life change: a challenge for nurse practitioners.


Child health screening for the nurse practitioner.


Delayed speech development.

Delayed speech development.


Implementation of nursing audit.

Implementation of nursing audit.


Definition of an expanded role: the nurse midwife.


A strategy for change.

A strategy for change.


Teaching kids how to live with their allergies.


An interview with Dr. Loretta Ford.

An interview with Dr. Loretta Ford.


We had misjudged Barb...now she was punishing us.


The case of the hidden infections in the elderly.


Round table discussion: skin diseases in a rural practice.


New drugs '75/'76.

New drugs '75/'76.


Multidisciplinary care for sexual assault victims.


Catheter-induced urinary tract infections: how can we prevent them?


Eneuresis: a frequent problem with multiple causation and generally manageable.


Only a concussion.

Only a concussion.


New surgery for arthritic hands.

New surgery for arthritic hands.


Drugs and the elderly; what you should know about them.


Vantage point.

Vantage point.


Facts about colonoscopy.

Facts about colonoscopy.


Alcoholism in the family: perspectives for the nurse practitioner.


Down from the ivory tower.

Down from the ivory tower.


Over-the-counter gastro-intestinal drugs: part two, laxatives.


Immunology related to the newborn.

Immunology related to the newborn.


You really oughta wanna... or how not to motivate people.


The nurse practitioner and professional growth.


Overview of a nursing center for family health services in Freeport.


Is oncology nursing the challenge you're looking for?


Drug information resources for the nurse practitioner.


Fatigue.

Fatigue.


Comments on the document (Health and Safety at Work Act).


Acre Mill and after.

Acre Mill and after.


What is the current status of the controversy related to oral hypoglycemics?


Stopping the potter's rot.

Stopping the potter's rot.


Safety: inside information.

Safety: inside information.


The trouble with trucks.

The trouble with trucks.


Diseases of sprout pickers.

Diseases of sprout pickers.


'E aint no nurse.

'E aint no nurse.


Editorial: Accept the challenge.

Editorial: Accept the challenge.


A novel method of collecting information.


A simple method of treatment for humeral shaft fractures.


Care of the aged.

Care of the aged.


Recognition program.

Recognition program.


The orthopedist and the image intensifier.


Ethnicity and health care.

Ethnicity and health care.


Multicultural components of nursing.

Multicultural components of nursing.


Health care needs of the Mexican-American.


The American Indian and health.

The American Indian and health.


Ethnicity and health care--the Jewish heritage.


Ethnicity and health care: Afro-Americans.


Chinese Americans and health care.

Chinese Americans and health care.


Accountability and the open curriculum in baccalaureate nursing education.


The NLN open curriculum project.

The NLN open curriculum project.


Evaluation and the open curriculum.

Evaluation and the open curriculum.


Open curriculum and the curriculum process.


Accountability: accepting the challenge.


Administrative accountability.

Administrative accountability.


Accountability: overall implications and issues.


The administrator's role: accountability to the process.


Challenges of accountability.

Challenges of accountability.


A student looks at the challenges of accountability.


The director of nursing: expectations and responsibilities.


Nursing education: accountability for a product.


The medical librarian and accountability.


Counseling and accountability.

Counseling and accountability.


Alligators and accountability in nursing education.


Guidance and accountability in a diploma school.


Areas of accountability between student and administration.


Accountability: a student's viewpoint.

Accountability: a student's viewpoint.


Responsibilities of faculty in accountability.


Accountability of administration: a view from nursing service.


Labor-management issues in the health care field. Introduction.


Labor management issues in the health care field.


The National Labor Relations Board and health care institutions.


Management's side of the bargaining table.


Living with unions in a health care agency.


NLRB and unfair labor practices.

NLRB and unfair labor practices.


Negotiating a union contract in a Visiting Nurse Association.


State organization planning for home health care.


Certificate of need legislation for home health agencies in New York State.


Guidelines for establishment of home health agencies.


A plan for the development of home health services in North Central Texas.


Introduction of health insurance legislation for home health coverage in the State of Maine.


Understanding the aging process and the institutionalized elderly person. An instructive program.


Understanding the aging process and the institutionalized elderly person. Resident care guides.


Profiting by group encounters.

Profiting by group encounters.


Your career in nursing.

Your career in nursing.


Understanding the aging process and the institutionalized elderly person. An instructor's guide.


Faculty rewards.

Faculty rewards.


Editorial: The uninvolved.

Editorial: The uninvolved.


Power and interorganizational health care projects.


The external degree in nursing: the promise fulfilled.


Reflections of an external degree graduate.


Nursing diagnosis--the weak link.

Nursing diagnosis--the weak link.


Building a faculty team.

Building a faculty team.


Teaching primary care in a baccalaureate program.


Testing the RN student's skills.

Testing the RN student's skills.


Editorial: What happens to your manuscript?


Role, function, and decision making in community mental health. In this study, opinions of 44 nurses who worked in urban community mental health settings were solicited in interviews that covered their role, functions, and part in the decision-making process. Most were found to have a limited view of their role and functions, one that was based more on their duties than on the possibilities in the field. Nurses with at least a baccalaureate degree and head nurses and clinical specialists believed they had a part in the decision-making process.


The phenomenon of caring. III.

The phenomenon of caring. III.


When preparing your grant application...


Nursing service administration: the state of the art.


You can earn a nursing degree.

You can earn a nursing degree.


Speaking of you.

Speaking of you.


Movement tempo and the experience of time. To test the relationship between preferred rate of movement and time estimation; to attempt to control for conscious compensation in relation to time estimation; and to determine whether a trend emerges relating slowed rates of walking to time estimation; and to determine whether a trend emerges relating slowed rates of walking to time estimation by incorporating an additional slower rate, 90 healthy volunteer subjects between 18 and 45 years of age, drawn from the student population of a large, metropolitan university, were tested while walking on a finely calibrated treadmill. Three rates of walking were utilized: the individual's preferred rate and two rates slower than his preferred rate--one 30% slower, another 50% slower. While the subjects walked at the imposed rates, they were added to estimate a 40-second interval by two methods: one designed to control for conscious compensation and one to allow for compensation. They estimated the interval by activating a buzzer at the beginning of the interval and again when they felt 40 seconds had elapsed. Auxiliary data related to body temperature, pulse, and time competence (a scale of Shostrom's Personal Orientation Inventory) were also collected. The entire procedure required approximately one hour. Relationships were analyzed by simple correlation and two-way analysis of variance for repeated measurements. The relationship between preferred rate of walking and time estimation was not supported. Controlled conscious compensation did not make a difference in time estimation, as indicated by F ratio. The difference in time estimation in relation to rate of walking was statistically significant (p less than .001), and the trend was in the direction hypothesized. The time ratio score of the POI did not correlate with time estimates, and there was a low negative correlation between age and time.


Effect of acquisition of knowledge on self-evaluation and the relationship of self-evaluation to perception of real and ideal self-concept. To investigate the effect of knowledge acquisition on self-evaluation and self-concept 69 graduate nursing students--25 in an experimental group, 18 in control group I, and 26 in control group II--enrolled in three nursing courses provided demographic data, self-evaluation of entering behavior, and personality test data. The latter two tests were given on pre- and posttest bases. Seven hypotheses were tested. Overall results showed: The experimental group which was taught by means of mastery learning acquired significantly more knowledge than the control groups which received the traditional lecture-discussion method of learning; there was an inverse relationship between knowledge acquisition and self-evaluation of entering behavior; positive correlation between "amount of overestimation or underestimation of previous knowledge'' and extremes of self-concept was partially supported; in general, single students were less able to evaluate accurately by what they thought they knew than were married subjects; employment was inversely related with knowledge acquisition and course grade. The relationship between self-concept and acquisition of knowledge was not significant.


Professional nurse, competent mother, fulfilled woman.


Continuing education in a VA hospital.

Continuing education in a VA hospital.


Insect bites and stings; deadly for the hypersensitive.


HSV-2 (newest VD menace).

HSV-2 (newest VD menace).


Community health nurses' preferences for systems of protection. This study examined community staff nurses' and nursing students' preferences for escort protection in areas in which they would refuse to go alone and investigated the nurses' comfort in performing tasks in the presence of a protector. Influence of type of agency, student--staff status, role performance, and evasion on preferences were made for health care delivery based on the findings.


You can give hope to the MS patient.

You can give hope to the MS patient.


Evaluation of a written simulation format for clinical nursing judgment: a pilot study.


Routine postoperative management and immediate recovery room care.


Letter: 'Preparation of the breasts for breastfeeding'.


Editorial: News media and the health care industry.


Instructional change in health care education. Faculty in the nursing, medical, and pharmacy schools of a midwestern university health sciences center responded to a two-part instrument intended to determine the extent of 1) their commitment to implement recommended changes in their teaching activities and 2) their perceptions of the extent to which such changes had been implemented throughout their respective schools. Factor analysis and analysis of variance revealed variable degrees of commitment to change in teaching activities, as well as perceptions that such changes had not been implemented widely throughout the schools. The data suggested that faculty adjusted traditional instructional practices to fit new resources and expanded programs, rather than implementing changes in their instructional methods and techniques as the overall programs changed.


The process of clinical judgment in nursing practice: the component of personality. An exploratory study of the relationship of personality in the process of clinical judgment in nursing practice pointed out that changes in the profession--the extended role of nurses and the increasing number of men and older women who enter nursing--necessitate reexamination of the nurses' personality profile, development of a device to measure "successful'' and "effective'' clinical judgment, and evaluation of the effect of personality on nursing process.


Faculty and student perceptions of effective classroom teaching in nursing. The purpose of this three-stage study was to identify and validate constructs which students use in differentiating among teachers. In stage I, six theoretical constructs thought to be involved in teaching effectiveness were identified; these were revised through a faculty content validity study. In stage II, a known-groups validity study, all items and constructs were found to be used by students in differentiating between good and poor teachers. In stage III, students' ratings of current teachers were collected and factor analyzed. Two factors, individualized prescriptive approach and systematic theoretical presentation, were identified. An analogy was drawn between these factors and elements of nursing process. The category structure which had been derived through the faculty content validity study was not supported.


Working with geriatrics.

Working with geriatrics.


Speaking of you.

Speaking of you.


Sexuality of nurses: correlations of knowledge, attitudes, and behavior. In a study of relationships among knowledge, attitudes, and statements of nursing behavior about sexuality, degree of comfort with sexual situations was measured with a Professional Sexual Role Inventory (PSRI), using ridit analysis. The PSRI and the Sex Knowledge and Attitude Test were administered in groups to 107 professional family planning nurses and 64 senior nursing students. The major hypothesis--the more knowledge a nurse has of human sexuality, the more favorable will be her attitude toward it and the more comfortable she will be in professional situations with sexual overtones--was supported. Significant positive correlations between sexual knowledge and attitudes and written responses indicated comfort in handling sexual situations. Analyses of variance of the test scores--by age, race, marital status, religion, religiosity, frequency of church attendance, and urbanization--demonstrated areas of sexuality which might be incorporated into nursing inservice training and education.


Predictive value of selected admission criteria for graduate nursing education. To determine if there are admission criteria that predict success in graduate nursing education, an investigation was conducted of 193 graduates who had successfully completed the masters nursing program at a private eastern university. Admission criteria and other variables chosen were nursing, nonnursing, and cumulative undergraduate grade point averages (GPAs); verbal, quantitative, and combined Graduate Record Examination (GRE) scores; age at entrance; number of years intervening between attainment of the bachelors and completion of the masters degree; and, number of years intervening between the basic nursing education and the completion of the masters degree. Each variable was correlated with masters GPA for degree of association. Pearson's coefficient of correlation was used to analyze the data. Subgroups were analyzed in relation to the chosen area of clinical concentration: community health, psychiatric, medical-surgical, and maternal-child nursing; basic nursing education: diploma or generic baccalaureate; and, marital status: single or married. Nursing, nonnursing, and cumulative undergraduate GPAs were found to be weakly associated with the masters GPA except for the psychiatric subgroup which showed a moderate correlation between the cumulative under-graduate and the masters GPAs. Weak associations were found between verbal, quantitative, and total GRE scores and the masters GPA, with two exceptions: for psychiatric and community health subgroups there were moderate degrees of association between verbal GRE scores and the masters GPA. Age was not an effective criterion for predicting degree of success in the program. Both measures of intervening years were found to be weakly associated with the masters GPA.


The anxious patient.

The anxious patient.


Self education: don't let it stop.

Self education: don't let it stop.


Helping the epileptic help himself.

Helping the epileptic help himself.


Understanding the epileptic and his medication.


Flexible decubitus treatment.

Flexible decubitus treatment.


When your patient has a dental problem.

When your patient has a dental problem.


Editorial: Empathy and communication.

Editorial: Empathy and communication.


Will the real nurse please stand up?

Will the real nurse please stand up?


Control of trachoma.

Control of trachoma.


Blindness in the Third World.

Blindness in the Third World.


The nasal filter as a simple treatment for inhalant allergy.


Nurse-midwife--a "multipurpose worker".

Nurse-midwife--a "multipurpose worker".


Coronary disease.

Coronary disease.


Salmon after ten years.

Salmon after ten years.


The person, the coronary, and the nurse.


Twin pregnancy following artificial insemination.


Needle biopsies.

Needle biopsies.


The contingent colostomy.

The contingent colostomy.


Hypertension during pregnancy.

Hypertension during pregnancy.


Returning to nursing.

Returning to nursing.


A degree of nursing.

A degree of nursing.


Farewell to caps.

Farewell to caps.


The role of a sick unit in a psychiatric hospital.


Oncology.

Oncology.


Editorial: A conflict of interests.

Editorial: A conflict of interests.


Outpatients.

Outpatients.


Family planning. Developing clinical skills.


Family planning. Extending skills.

Family planning. Extending skills.


Prevention is better than cure.

Prevention is better than cure.


Family planning. Using skills.

Family planning. Using skills.


The reality of Salmon.

The reality of Salmon.


Venereal disease contact tracing.

Venereal disease contact tracing.


Caring services for the elderly.

Caring services for the elderly.


NHS reorganization - has patient care improved?


Nursing in a girls' school.

Nursing in a girls' school.


Cerebro-vascular accident.

Cerebro-vascular accident.


Editorial: Caring about standards.

Editorial: Caring about standards.


Negotiating the EEC Midwives' Directives.


Briggs one step nearer.

Briggs one step nearer.


Cardiac disease in pregnancy.

Cardiac disease in pregnancy.


Geriatrics in psychiatry.

Geriatrics in psychiatry.


Biological wound dressing.

Biological wound dressing.


Caring for the younger disabled.

Caring for the younger disabled.


Intravenous therapy.

Intravenous therapy.


Pornography and nurses.

Pornography and nurses.


Were you there? Minor operation.

Were you there? Minor operation.


Respiratory diseases.

Respiratory diseases.


The role and status of nursing and midwifery committees.


Editorial: Democracy is for everyone.

Editorial: Democracy is for everyone.


Whitleyism.

Whitleyism.


A symposium on carpal tunnel syndrome from Enfield District Hospital.


Carpal tunnel syndrome. Surgical treatment.


Carpal tunnel syndrome. A patient's view.


Carpal tunnel syndrome. The physiotherapist's role.


More than just a salesman...

More than just a salesman...


Paediatric psychiatry. 8. Emerging outlines for paediatric nursing.


Health services economics part 1.

Health services economics part 1.


Within these walls.

Within these walls.


Social development during the first two years of life.


Road traffic accidents.

Road traffic accidents.


Editorial: The demon lipid.

Editorial: The demon lipid.


Goose with a golden egg.

Goose with a golden egg.


Hypercalcaemia.

Hypercalcaemia.


Termination of pregnancy.

Termination of pregnancy.


Health services economics. Part 2.

Health services economics. Part 2.


Closed-circuit television prescribing.

Closed-circuit television prescribing.


The future of mental handicap nurses.

The future of mental handicap nurses.


Outward bound.

Outward bound.


Editorial: Underpriviledged patients.

Editorial: Underpriviledged patients.


Private care for the working man.

Private care for the working man.


Medicine on Everest.

Medicine on Everest.


Hygiene and high finance.

Hygiene and high finance.


History and techniques of heart/lung bypass. Part 2. The management of bypass.


Nursing care study: double uterus.

Nursing care study: double uterus.


RAF flies home the sick.

RAF flies home the sick.


Religious order that helps fill the gaps in the NHS.


Nurses at the top.

Nurses at the top.


Safety responsibility.

Safety responsibility.


Chronic renal failure.

Chronic renal failure.


Editorial: No victimisation for complainants.


The emotional needs of the child.

The emotional needs of the child.


On the move.

On the move.


The Sheffield Children's Hospital; nurse education.


Sports medicine.

Sports medicine.


Nursing care study: amoebic hepatitis.

Nursing care study: amoebic hepatitis.


Overuse injuries in sport.

Overuse injuries in sport.


The process of nursing.

The process of nursing.


Cardiac arrest.

Cardiac arrest.


Cardiac arrest. Psychological problems.

Cardiac arrest. Psychological problems.


Educational television.

Educational television.


Disorders of the gastro-intestinal tract.


Incentives for managers.

Incentives for managers.


Editorial: New horizons in clinical nursing.


Administration for progress.

Administration for progress.


The nurse philosophers.

The nurse philosophers.


Critical care nursing.

Critical care nursing.


Impressions of the Old Country in the New World.


Going to America.

Going to America.


Nursing care study: acute myocardial infarction.


Paediatric psychiatry. 9. The role of the hospital nurse in the therapeutic team.


Why do we sleep?

Why do we sleep?


Endogenous depression complicated by carcinoma.


Suicide.

Suicide.


Editorial: Putting the patient first.

Editorial: Putting the patient first.


An Institute of Gerontology.

An Institute of Gerontology.


A convenient alibi?

A convenient alibi?


Crisis cartoons.

Crisis cartoons.


Who says 'National Health Dis-service'.

Who says 'National Health Dis-service'.


Nursing care study: Brain - heroin addict.


A question of priorities.

A question of priorities.


Problems of graduate nurses.

Problems of graduate nurses.


Asbestosis, the killer disease.

Asbestosis, the killer disease.


Primary subarachnoid haemorrhage. 1. The combined approach.


'Namaste didi'.

'Namaste didi'.


One woman's recession.

One woman's recession.


Sleep problems in mental subnormality.

Sleep problems in mental subnormality.


A review of near drowning.

A review of near drowning.


Editorial: Four years since the Association was formed.


Family planning practice in New Zealand.


Sexual function and spinal cord injury.

Sexual function and spinal cord injury.


Nursing and its challenges.

Nursing and its challenges.


Health care delivery: the expanding role of the community health nurse.


Closed head injury: a simplified approach. In early evaluation of the head-injured patient one must continuously be alert for signs requiring operative intervention. If a neurologic deficit is in evolution, it should manifest itself by producing a change which will not be missed by careful frequent clinical evaluation.


The teenager with pubertal delay.

The teenager with pubertal delay. All adolescents are concerned about their growth and development, and 2 to 3 per cent may have a delay in pubertal maturation. In most cases this is constitutional, and careful evaluation and thoughtful management will help alleviate their anxiety.


When adoptive families ask for help.

When adoptive families ask for help. As the adopted child enters adolescence and becomes more acutely aware of the biologic link of the generations, he often manifests behavior which is confusing to his parents. He may need to know more about his natural parents or even begin a search for them. At other stages in his development, but particularly at this time when his dual identity presents a special form of the adolescent identity crisis, both parents and child may need help and support in dealing with the feelings that emerge.


Admissions to schools of nursing.

Admissions to schools of nursing.


Early detection of cancer in women.

Early detection of cancer in women.


Is the cervix normal? How do you arrive at that conclusion? It is the responsibility of practicing physicians to determine, at the earliest possible time, the presence or absence of neoplastic disease of the cervix. Modes of treatment for cervical cancer will vary according to geographic location, the expertise of those providing treatment, and current clinical trials.


A study of Association members.

A study of Association members.


Hyperlipoproteinemia: diagnosis and management. The hyperlipidemias are fairly common and require proper understanding. They may cause major complications, they may present as secondary manifestations of a number of common diseases, and, finally, a diagnosis of primary hyperlipidemia has significant implications for the patient's family.


Editorial: The dilemma of some of our colleagues abroad.


Constipation.

Constipation. Careful understanding of the multiple factors which play a role in constipation precedes successful treatment. A method is described which employs elimination of factors interfering with normal bowel function. Refraining of spontaneous defecation is described.


Syphilis: CDC recommended treatment schedules 1976.


Weight problems in adolescence.

Weight problems in adolescence. Even the normal adolescent must incorporate into his body image radical changes in size, body proportions, and sexual characteristics. Obesity and anorexia, which are commonplace, may be sensitive problems to deal with.


Occupational therapy and adapted recreation.


Psychiatric nursing-some suggestions to improve its teaching.


The Philippine General Hospital: a national training center for health professionals.


Post basic and post graduate education in nursing-its actual situation its problem and its future.


Sermon on three marks of a good nurse.

Sermon on three marks of a good nurse.


Nursing in the National Development Program.


Editorial: Questionable nursing fees.

Editorial: Questionable nursing fees.


Why attitude therapy to the mentally ill.


Uncharted cholinergic nerves in the rabbit parotid gland. Cholinergic nerves are shown to be left in the rabbit parotid gland after avulsion of the auriculo-temporal nerve: a cholinesterase inhibitor injected through the duct caused secretion, thereby revealing leakage of acetylcholine from cholinergic nerve endings, and acetylcholinesterase positive nerves were found histochemically. The incomplete cholinergic denervation offers an explanation to the fact that some choline acetyltransferase activity remains in the 'denervated' glands.


The effect of vasopressin upon the excretion of calcium by the sheep. Vasopressin (140 muU/min) was infused intravenously into 12 conscious merino ewes for 2 hr. Urine flow rate and free water clearance were consistently reduced. There was no effect upon renal plasma flow, glomerular filtration rate or the rate of excretion of sodium, potassium, magnesium, chloride or phosphate. Although all animals received 75 mmol calcium chloride into the rumen on the previous day, five commenced the experiment with calcium excretion rates of less than 1 mumol/min. In these, vasopressin further decreased calcium excretion. In seven animals with calcium excretion rates between 2 and 20 mumol/min vasopressin had no effect upon either total calcium or free ionized calcium excretion rate.


Taurine transport rates between plasma and tissues in adult and 7-day-old mice. Transport rates for taurine from plasma to liver, kidney, heart, spleen and femoral muscle were evaluated in adult and 7-day-old mice in vivo. The mice were injected with [35S]taurine and the specific radioactivity of taurine was determined in the above tissues at varying intervals from 10 min up to 48 hr after the injection. A multicompartment model was fitted to the data and the transport rates with their confidence limits were estimated using a digital computer. The tissue-plasma exchange rate was generally faster in adult mice than in 7-day-old mice. The transport rates between the plasma and the brain or muscle were low, while taurine penetrated into the liver and kidneys very rapidly. There was no distinct correlation between the calculated transport rates and the tissue taurine concentrations. The metabolic breakdown of taurine in the tissues was slow, since only negligible amounts of radioactivity were recovered in the metabolites of taurine, isethionic acid and inorganic sulphate. It seems unlikely that either the magnitudes of the transport rates between the plasma and the tissues or taurine breakdown rates in situ act as the primary factor determining the taurine levels in tissues.


The effect of plasma potassium in determining normal rates of excretion of potassium in dogs. Doses of 5-15 mmol KCl or KHCO3 (less than the daily intake in food) given by stomach tube or intravenous infusion, produced increases in plasma K and in K excretion, the time delay between change in plasma K and  rate of excretion being minimal. Without doses of K salts in control experiments, plasma K concentration was about 4 mmol/1 and K excretion about 5 mumol/min. After doses of KCl or KHCO3, plasma K and rate of excretion of K both increased, increase of 0-5 mmol/1 in plasma K being associated with an increase of about 35 mumo1/min in K excretion. Increased excretion of K was accompanied by a small increase in Na excretion. Excretion of both C1 and HCO3 increased, C1 more after HCO3 more after KHCO3. The results indicate that within normal ranges, plasma K is an important factor determining the rate of excretion of K.


Constipation.

Constipation.


Respiratory responses to CO2-rebreathing in Nigerian men. In 36 young Nigerian men, ventilatory capacity and the changes in ventilation, tidal volume and tidal P CO2 during oxic CO2-rebreathing have been measured. CO2 response lines and breathing rhythms have been determined and analysed in relation to the anthropometric and lung function data. Previous findings that Nigerian men have a substantially lower ventilatory capacity than Europeans at a standard height and age are confirmed. Breathing rhythms in Nigerians appear to be the same as in other ethnic groups studied. CO2-sensitivity varies with FVC, as found previously in Europeans and New Guineans. However, at a standard FVC of 41, Nigerian men have the same CO2-sensitivity as Europeans, and not a lower value like New Guineans.


Teaching nurses to teach.

Teaching nurses to teach.


The personalities of God. The 'ICL' as an inventory of self-perception in relation to perceptions of the personality of God.


Training of nursing auxiliaries: the British Red Cross Society can help.


Myopia, hallucinations, and delusions.

Myopia, hallucinations, and delusions.


A new district nursing case.

A new district nursing case.


Accreditation--a new responsibility facing RPN's.


Patient care study multiple sclerosis.

Patient care study multiple sclerosis.


Developments in care.

Developments in care.


Planned early surgical discharge and major out-patient surgery.


Dignity from disaster.

Dignity from disaster.


Community services in Norway.

Community services in Norway.


Death and dying - the dying process.

Death and dying - the dying process.


A case study of a patient suffering from... diabetes mellitus.


The problem of drugs; dependence and abuse.


Speech by the Hon. Rowan Cronje, Minister of Health, at the International Nurses' Day dinner on Monday 12th May, 1975, Ambassador Hotel, Salisbury.


The community outreach of the Sanyati Baptist Hospital.


Precious baby.

Precious baby.


Extra-mural and external nursing degree courses--a query and an answer:.


Rhodesian Nursing Congress; September, 1975 traumatology.


Mufakose Clinic.

Mufakose Clinic.


Malabsorption in childhood.

Malabsorption in childhood.


Preventive health services in rural areas--Victoria Province.


The future of nursing.

The future of nursing.


A medical and nursing tape recording service.


Tutoring as a career.

Tutoring as a career.


Strategies for implementation of the standards for nursing service.


Retrospective nursing audit--is it enough?


Nursing by trial and era--the STANDARD misconception.


Continuing education revisited.

Continuing education revisited.


Dealing with apathy in nursing.

Dealing with apathy in nursing.


Supervisor membership in ANA.

Supervisor membership in ANA.


The art and science of supervision. Releasing your mental energy.


The interrelationships of hormones/steroids and ultrashort-acting barbiturates.


Acute poisoning in a puppy caused by the balsam pear (Momordica charantia).


Otitis externa--2: Therapeutics. Number six in a series.


Effects of chloramphenicol on Tilazol (CI-744) anesthesia in cats.


Diet in renal disease.

Diet in renal disease.


A new critical-care flow chart.

A new critical-care flow chart.


Nursing care of the burned patient.

Nursing care of the burned patient.


Brain abscess in a dog.

Brain abscess in a dog.


Student Nurses' Unit. What is it?--Who is it?


Ameloblastoma (adamantinoma) of the mandible in a dog. (A case report).


Editorial: What expectations do Victorian nurses have of their professional organisation?


Some tips on dairy goat practice.

Some tips on dairy goat practice.


Selective scar revision & elective incision techniques applicable to the legs of horses. Part 2--Application of modified W-plasty surgical techniques in scar revision on the lower legs of horses.


Liver flukes in cattle. Prevalence, distribution, and experimental treatment.


"The increasing responsibility of nursing staff in leukaemia management".


Dehorning by injection of calcium chloride.


Do unknown outsiders share your home?

Do unknown outsiders share your home?


Corporation life insurance.

Corporation life insurance.


Committee of Inquiry into Hospital and Health Services in Victoria.


The integrated course of nurse education.


Role of the midwife in family life.

Role of the midwife in family life.


Salmonella typhi strain with transmissible multiple resistance. A case of typhoid fever caused by multiple drug resistant S typhi by R factor was clinically and bacteriologically studied. The clinical course was weakly influenced by successive chloramphenicol (21 days) and ampicillin (7 days) therapy; recovery occured after 62 days of disease including 2 relapses) as a result of the combined effect of immunization by disease and septrin administration (9 days). Two strains of S. typhi were isolated, one of them from blood culture before treatment, being Vi A degraded, sensitive to antibiotics A, C, T (strain 221) and the other from stool culture, after 4 days chloramphenicol treatment, being untypable with adapted Vi II phages, resistant to A, S, C, T (strain 552). Resistance markers were transferred within 4 conjugation systems, from strain 552 - as donor - to E. coli K12, to S. typhi A and to S. typhi 221 - as recipient-, the resistance level found was equal to that of the donor for all the determinants. The fi- character of the resistance factor was established and its possible restrictive effect in explaining the presence of two lytic patterns was discussed. The importance of the occurence of multiple drug-resistant S. typhi in certain areas, as well as chemical and epidemiological consequences, is emphasized.


The microdilution antibiotic susceptibility test. Bacteroides fragilis. A micro broth-dilution method was developed for the antibiotic susceptibility testing of Bacteroides frgilis. Eighty strains of B. fragilis were tested against six antibiotics using the agar dilution test as the reference method. The microdilution test yielded results in 24 hours, and agreement with the reference test was satisfactory. Certain subspecies-specific patterns of antibiotic susceptibility were observed. However, larger numbers of subspecies should be evaluated before subspeciation of B. fragilis can be used as a reliable predictor of antibiotic susceptibility.


Heparin - lock or keep open IV?

Heparin - lock or keep open IV?


Guest Editorial: In the spirit of '76.

Guest Editorial: In the spirit of '76.


Cervical spine syndrome.

Cervical spine syndrome.


ANA Convention 76.

ANA Convention 76.


The child with leukemia: parents help each other.


The audit and I.

The audit and I.


Hyper and hypocalcemia.

Hyper and hypocalcemia.


Is practice responding to research?

Is practice responding to research?


Are workshops effective in rehabilitation?


Transactional analysis.

Transactional analysis.


Dental health in adults.

Dental health in adults.


Dental health in hospitalized patients.

Dental health in hospitalized patients.


What's in a warranty?

What's in a warranty?


Diary of an angry nurse practitioner.

Diary of an angry nurse practitioner.


Peters' anomaly with the fetal transfusion syndrome. Of identical twins with the fetal transfusion syndrome, the second twin who was anemic and hypoxemic from early gestation had Peters' anomaly by histologic examination of the host cornea excised during corneal transplantation at 7 months of age. The absence of a normally positioned lens with the incorporation of lens epithelium, capsule, and cortex within the posterior corneal stroma suggested a developmental disturbance in the separation of the lens from the cornea. The severe lenticular disturbance, microphthalmos, and fetal growth retardation in this case reflected early anemia and the resultant hypoxemia. To our knowledge, this is the first time that the fetal transfusion syndrome and Peters' anomaly have been associated.


Health Security Act to establish NHI plan.


Texas regents refuse delay, begin dismantling UTSSN.


Editorial: Nurses attaining stronger professional identity.


Labor-HEW Subcommittee--a major force in allocation of health care funds.


Details about certification exam may reduce anxiety.


Seminars for health professionals on childhood asthma.


Goals in nursing education. Policy statements of the Royal Australian Nursing Federation, College of Nursing, Australia, National Florence Nightingale Committee of Australia, New South Wales College of Nursing.


Selected issues confronting community health nursing.


U.S. circa 1976: changes and challenges in nursing education and practice.


A report of a study conducted to investigate the demand in New South Wales for the introduction of a post-basic course in orthopaedic nursing.


Nurses at work. The one-woman team.

Nurses at work. The one-woman team.


In vitro and in vivo comparative evaluations of injectable cephalosporin derivatives and ampicillin. The in vitro and in vivo activity of the 5 injectable cephalosporins, cefazolin, cephaloridine, cephalothin, cephapirin, cephacetrile, and ampicillin was compared. No gram-positive organisms resistant to any of the cephalosporin derivatives were encountered. The MIC of ampicillin for gram-positive organisms was distributed over a wide range. The antibacterial activity of cefazolin, cephaloridine and ampicillin was high against gram-negative organisms. Ampicillin was potently effective especially against P. mirabilis and cefazolin especially against K. pneumoniae. The protecting effect of the 5 cephalosporins on experimental infections in mice was compared. The effect of cefazolin and cephaloridine was more marked than that of the others. These results may be explained by the fact that the other 3 cephalospoirins are rapidly metabolized in the living body.


Mechanism of alveolar flooding in acute pulmonary oedema. In severe pulmonary oedema, the alveoli fill rapidly with fluid of essentially the same protein composition as free interstitial fluid. The usual explanation is that the normally 'tight' alveolar epithelial intercellular junctions suddenly become freely permeable to proteins. But the pathophysiological basis for such a change is unknown. In seven anaesthetized dogs one lower lobe was filled with iso-osmotic fluid containing 125I-labelled albumin. The calculated alveolus-blood albumin permeability over three hours averaged 0.06 X 10(-7) cm/s. It decreased nearly 50% when the alveolar tracer concentration was tripled for three more hours. At autopsy, large interstitial free fluid cuffs around blood vessels and airways were found. Isolated lung lobes were filled with isosmotic fluid containing tracer albumin at 10 and 20 cmH2O (0.98-1.96 kPa) airway pressure. Free interstitial fluid cuffs developed within 30 and 10 minutes, respectively. The tracer protein concentration in the cuff fluid averaged 0.9 that of the alveolar fluid. It is postulated that the terminal airway epithelium is normally permeable to protein and water. In acute pulmonary oedema alveolar flooding may occur along the same pathway after the loose interstitial tissue space is fluid-filled and its pressure exceeds that in the airway. The anatomical site of the bulk fluid and protein leak has not been identified.


Comparative aspects of salt and water transport across lung. Calculation suggests that the outward flux of water from the surface of the lung into the expired air could be driven by a relatively small standing osmotic gradient. The structure of this alveolar epithelium does not appear to possess the characteristics of a typical secretory epithelium. These considerations argue against the occurrence of active transport in the alveoli of the adult mammalian lung.


Effect of lung inflation on alveolar permeability to solutes. The alveolar epithelium separates gas and liquid phases in the lung. Osmotic forces available for separating these phases will be determined by the solute permeability of the epithelium. The relative rates of diffusion of several simultaneously studied solutes of known molecular size have been used for measuring the equivalent pore radius across the alveolar epithelium in vivo in the perinatal period and in adult animals. In perinatal sheep, the equivalent pore radius increases from 0.5 nm in the fetal state to 1.5-4.5 nm during the first minutes of spontaneous ventilation. Postnatal animals, 12-60 hours of age, have pore radii of 0.7-1.4 nm. Static inflation of the lungs, in fetal lambs, produced pressure-dependent increases in pore radii. In adult sheep and rabbits the measured radius of equivalent pores across the epithelium in vivo was positively correlated with the degree of inflation of the lungs (P less than 0.005). Measurements varied from 0.5 nm at low levels of inflation to large leaks at high levels. These experiments indicate that solute permeability across the alveolar epithelium is a dynamic function of the inflation of the lung, rather than a static feature.


Intracellular and subcellular oedema and dehydration. Changes in intracellular water content appear to be common abnormalities induced by a wide variety of pathogenic mechanisms. Such changes in cell water produce changes in the water in various subcellular organelles bound by semipermeable membranes. Cell and subcell functions then alter in their turn. In isolated alveolar macrophages (rabbit), intracellular and intramitochondrial oedema reduces mitochondrial O2 utilization. Metabolic control is maintained because lactate production reverses (Pasteur effect). On reconstitution, O2 utilization and lactate production return towards normal, indicating reversibility. Cellular and intramitochondrial dehydration also reduces mitochondrial O2 utilization but metabolic control is lost because lactate production also decreases. Osmotic reconstitution does not reverse the abnormality. Exposure to hypotonic media leads to release of lysosomal enzymes (beta-glucuronidase, EC 3.2.1.31) to the extracellular phase of isolated alveolar macrophages. Some of this release is caused by exocytosis although, at low osmotic concentrations, intralysosomal oedema ultimately ruptures lysosomes, with extensive discharge of enzyme. In turn, lysosomal enzymes may injure more normal cells. Impairment of energy metabolism caused by hypoxia leads to intracellular oedema, because Na+ accumulates in the cells when ATP is no longer available for the sodium pump. Continued studies of the disorders in cell physiology caused by changes in cell and subcell water should provide important new insights into a wide variety of disease states (including pulmonary oedema).


What are the prospects for national health insurance?


The permeability of lung capillary and alveolar walls as determinants of liquid movements in the lung. The lungs of the exteriorized fetal lamb offer an unusually good opportunity for measuring the permeability of lung capillary and alveolar walls, because access to plasma, interstitial fluid and alveolar liquid can be obtained without seriously disturbing their physiological relationships. Although there are probably some differences in permeability between fetal and air-breathing lungs, the underlying pattern appears to be similar. Large water-soluble molecules, including proteins, can penetrate capillary but not alveolar walls. The latter appear to be impermeable to molecules with diffusion radii greater than 0.5-0.6 nm. Pore theory can be used to characterize these permeabilities and to obtain estimates of osmotic reflection coefficients for various water-soluble substances. From them, predictions can be made of the bulk movements of liquid to be expected in a variety of circumstances, including the adaptation of the lungs at birth, lung oedema and drowning in sea water or fresh water.


These kids are excited about their health. Imagine!


Clinical disorders of lung liquid.

Clinical disorders of lung liquid. Clinical pulmonary oedema is often persistent and of sudden onset, suggesting a vicious circle, i.e. positive feedback. It is difficult to produce in animals by any haemodynamic manoeuvres, but the important neurogenic component can be illustrated by acutely increasing cerebrospinal fluid pressure of rabbits to 300 mmHg (40 kPa). Breathing stops virtually at once, and restarts when cerebrospinal fluid pressure is again reduced. With cerebral ischaemia lasting for up to 2 min, all is well; with longer times pulmonary oedema is almost invariable and often eventually fatal, although the animals may otherwise apparently recover. Comparable events sometimes follow subarachnoid haemorrhage in man. A few hypotheses on the pathogenesis of pulmonary oedema in man are offered.


Interstitial fluid and transcapillary fluid balance in the lung. Alterations in extravascular lung water content when capillary pressure or plasma colloid osmotic pressure is increased have been evaluated in isolated, continuously weighed, plasma-perfused pairs of rabbit lungs. After modest increases in left atrial pressure, most preparations rapidly reached a new stable weight, and thus a new transcapillary fluid balance, but no significant increase in extravascular lung water content could be detected. In preparations where there was still a steady, slow gain in weight and thus still some transvascular filtration of fluid 15 min after the increase in pressure, a moderate but significant increase in extravascular water could be detected. It is concluded that only very small transvascular shifts of fluid occur in the lungs when capillary pressure changes, as long as this change is kept below the level that causes oedema. This limitation of pressure-induced transvascular shifts of fluid in the lung could be explained by the existence, close to the capillaries, of a small interstitial space containing fluid with a high protein concentration. Alterations in the colloid osmotic pressure exerted by this fluid would then contribute markedly towards continuous readjustment of the transcapillary fluid balance in the lung. Experiments by other workers indicate that alveolar pressure can markedly affect the transcapillary fluid balance of the isolated perfused lung.


Dynamics of subatmospheric pressure in the pulmonary interstitial fluid. Systems analyses are presented for several aspects of pulmonary fluid dynamics, especially those related to (1) transport of fluid between the pulmonary interstitial spaces and the alveoli, (2) the possibility of a mechanism for concentrating protein in the lymph vessels, and (3) the effects of very high resistance to fluid flow in the alveolar septal wall. The analysis of fluid transport between the interstitial space and the alveoli, assuming that there is no active secretory or active absorptive process, shows that the interstitial fluid pressure in the normal lung cannot be more positive than the fluid pressure in the alveoli. Since the surface tension of this fluid causes it to have a subatmospheric pressure, the calculated maximum pressure for interstitial fluid in the normal lung is about -2 mmHg (-0.266 kPa). At any pressure more positive than this the alveoli will fill with fluid. The systems analyses for concentrating protein in the pulmonary lymphatics and for the effects of high resistance to fluid flow in the alveolar septal wall offer possible explanations for very negative pressures of pulmonary interstitial fluid, even though calculations of the interstitial fluid pressure based on the assumption that the colloid osmotic pressure of pulmonary interstitial fluid is equal to the osmotic pressure of pulmonary lymph give estimated pressures of pulmonary interstitial fluid approaching 0 mmHg.


The nature of pituitary large growth hormone as studied by immunoabsorption. Porcine pituitaries were homogenized in neutral pH buffer and the supernatant layer after centrifugation was fractionated by gel filtration on Sephadex G-200. The void volume peak contained 0.2-0.5% of the immunoreactive growth hormone (large GH), the remainder (small GH) eluted at Kd 0.6. The isolation of large GH was attempted with anti-GH coupled to Sepharose 2B: of the immunoreactive large GH 50-60% was absorbed to a large excess of anti-GH Sepharose during an 18 h incubation at 4 degrees C. Over 80% of the absorbed immunoreactivity could be eluted with neutral 6M-sodium thiocyanate at 4 degrees C. The eluate, when rechromatographed, contained small GH, RNA which had absorbed to anti-GH Sepharose remained in the void volume on rechromatography. RNA was also absorbed when Sepharose-coupled bovine serum gamma-globulin was substituted for anti-GH Sepharose or when rat liver was substituted for porcine pituitaries. No RNA was absorbed when large GH was converted into small GH with 6M-NaSCN and rechromatographed before immunoabsorption. However, significant absorption of prolactin was found. After a two-hour incubation of porcine pituitary slices with [3H]leucine, GH dissociated from large GH had a specific activity 10-100 times that of small GH but appeared similar to it by gel chromatography and polyacrylamide gel electrophoresis. We conclude that pituitary large GH represents a different metabolic pool from pituitary small GH and may be newly synthesized small GH not yet incorporated into granules, thus being susceptible to non-specific binding to RNA during the extraction procedure.


The vocational counselor and cardiac rehabilitation.


Is anybody listening?

Is anybody listening?


Hyperthyroidism.

Hyperthyroidism. Hyperthyroidism is a clinically dramatic but usually benign syndrome that is most commonly associated with the clinical triad known as Graves' disease. Although the diagnosis and treatment usually are straightforward and clinically rewarding, there are occasional patients in whom considerable clinical and laboratory expertise are required before the problem is identified and solved. Although among the most common endocrine disorders, the etiology of the hyperfunction of the thyroid gland in Graves' disease remains unknown and the mechanism by which thyroid hormones produce their effect is equally obscure. However, if the rate of progress in the past decade is typical, both these questions may well be answered before another 10 years have elapsed.


Intractable pain and dorsal cord neurostimulation.


Microwave oven for improved biological solids determination. This paper describes the evaluation of the use of microwave power to evaporate the water from biological solids in the suspended solids analysis for wastewater treatment plants. when microwave power was applied to the sample at a level of 1.8 watts per gram of water a constant weight was achieved in twelve minutes. This compares with sixty minutes drying time in the conventional test where thermal ovens are utilized. Solids results from microwaves oven drying were more precise than the results from drying with a thermal oven.


The relation of sex, age, and weight of mice to microwave radiation sensitivity. It is of interest to determine whether the weanling mouse, the sexually mature mouse, or the aged mouse of both sexes are similarly sensitive to microwave radiation. This study included 114 male and female mice irradiated to death with 2450 MHZ microwave radiation at 7.5 watts forward power, a minimum of 14 mice being used for any single set of variables. Weanling mice of 1 month of age are fully developed with respect to most organ systems except the reproductive. Two month old mice are sexually and otherwise mature, fully capable of survival and reproduction. The age mice of both sexes were ex-breeders which had been used for constant litter production for at least 12 months, and had waning reproductive potential. They were therefore about 14 months of age. It was found that the male mice on the average weighed more than the females (least difference at weaning) and both showed considerable weight increase with age; that weanling males irradiated to death absorbed slightly more radiant energy than did the weanling females, but they were also slightly heavier; that time to death under constant exposure from the beam increased with age for both sexes, indicating increasing microwave resistance with age and/or weight; that the mean absorbed dose at death did not show significant differences related to age or weight within the same sex; that the males showed slight increase in radio-tolerance with age and/or weight as measured by the absorbed dose at death when compared with the females which showed a decline in radio-tolerance with age and/or weight; that in all cases sex seemed to be somewhat more important than did age or weight in determining the lethal absorbed dose at death; and that it took longer longer for the older mice to die due probably to the fact that the rate of absorption of radiation was slower with their increased weight. It is the absorbed dose in joules per gram that is biologically significant and the data shows that the mean absorbed dose to death within either sex shows no significant difference with respect to age or weight, but that the difference between the sexes are significant, particularly among the aged ex-breeders.


Proceedings: Study of the effects of chronic low level microwave radiation on rabbits.


Proceedings: Variation of serum triglycerides rate under the action of electromagnetic waves: power level influence.


Proceedings: Effects of microwaves on normal and tumour cells as seen by laser-raman spectroscopy.


Proceedings: Influence of pulsed microwaves on haematopoiesis of adolescent rats.


Proceedings: Effect of electromagnetic energy on the formation of triglycerides: frequency influence.


Proceedings: Effects of microwaves on the twenty-four-hour rhythm and twenty-four-hour urinary excretion of seventeen hydroxycorticoids and seventeen ketosteroids.


Proceedings: Cytotoxic effects of electromagnetic radiation on chinese hamster cells in culture.


Proceedings: Human auditory system response to lower power density, pulse modulated, electromagnetic energy: a search for mechanisms.


Proceedings: Modification of the repair of radiation damage of haematopoiesis in mice by microwaves.


Proceedings: Microwave radiation and other harmful factors of working environment in radiolocation: method of determination of microwave effects.


Proceedings: Comparative study of the action of three types of microwave fields upon the behavior of the white rat.


Proceedings: Biochemical changes in the brain of rats exposed to microwaves of low power density.


Proceedings: Non-perturbing microprobes for measurement in electromagnetic fields.


Proceedings: A liquid crystal calorimeter for radiation monitoring.


Proceedings: Passive telemetry for in vivo measurement of fields in biological materials.


Proceedings: Use of thermography for quantitation of energy absorption in animals irradiated with microwaves.


Proceedings: High sensitivity electromagnetic leakage monitors.


Proceedings: A miniature portable microwave power monitor.


Proceedings: A low frequency H-field radiation monitor.


Proceedings: Microwave leakage indication.


Proceedings: Power density measurements in the near fields.


Proceedings: An upper bound on coefficient of transmission of microwave leakage into biological tissues.


Proceedings: Human thermal loading by exposure to emissions from a microwave oven.


Proceedings: The practice of microwave radiation safety.


Proceedings: Assessment of the EM field coupling of 915 MHz oven leakage to human subjects by thermographic studies on phantom models.


Proceedings: A comparative performance study of spaced applicators in microwave diathermy.


Proceedings: Microwave therapy and muscle blood flow in man.


Proceedings: Influence of 2450 MHz CW microwaves on rats exposed in-utero.


Proceedings: Temperature changes generated by microwave therapy in the thighs of human subjects.


Microwave-induced cochlear microphonics in cats.


Proceedings: Effect of microwaves combined with interferon and/or interferon inducers (poly I - poly C) on development of sarcoma 180 in mice.


Proceedings: Pulsed radiowave (27.12 MHz) effects on in vivo and in vitro tumor growth.


Proceedings: Use of an industrial prototype machine for drying and sterilizing pharmaceutical ampoules by microwaves at 2.45 GHz.


Proceedings: Dielectric properties of dimethyl sulfoxide and their importance in cryobiology.


Proceedings: Microwave sterilization of pea flour and pea protein concentrate.


Proceedings: Food sterilization in a microwave pressure retort.


Proceedings: Coagulation of fish products prior to canning.


Microwave heating of malignant mouse tumors and tissue equivalent phantom systems. Studies were conducted on the free-field heating of mammary tumors on the flank of mice and of tissue equivalent phantoms. A 200 watt, P.M., 2450 MHZ source was marginal in heating 1 cm tumors from room ambient to 38 degrees C. A technique was developed using warm air to raise the thermal baseline of the tumors to body core temperature and microwaves to produce significant hyperthermal levels. This allowed the production tumor temperatures of 45 degrees with greatly reduced microwave power and with significantly more uniform temperatures. However, the non-uniformity in temperature achieved with monodirectional microwave heating is still considered to be excessive: +/- 1 degrees C.


Current status and problems of alcohol education in the schools.


Health appraisal in secondary schools.

Health appraisal in secondary schools.


Chronic vision problems of school-age children.


A preliminary assessment of a cooperative drug education pilot project in the middle school.


Neurological disorders of school-age children.


A specialized preparation for health career exploration.


Does your state have a free lead testing program for children?


Training public school teachers in population dynamics: An evaluation of the urban life-population education workshops in Baltimore. Nine population education workshops were held for city school teachers in Baltimore, Maryland during the 1972-73 academic year. The original program schedule was modified two times, at the end of the third workshop and the sixth. Each change resulted in fewer formal presentations, more teacher discussions and greater teacher involvement in the workshop program. From the ideas generated by the workshops, curriculum units suitable for elementary and secondary school students were produced. An evaluation of the program showed that teachers' knowledge of selected demographic concepts and facts increased between the pre-workshop period and the post-workshop period. The changes were greater in the later workshops. The changes in knowledge were statistically significant. While there was some regression to pre-test levels, the teachers retained a substantiol portion of the knowledge they received when measured a second time after the workshop. High school teachers showed greater effective changes in knowledge than lower grade teachers. However, interest in population education appears to be wide-spread among all teachers including lower grade teachers. It is suggested that in the future, programs in population education consider conducting separate workshops for teachers of the same or similar grade level. A program consisting of a series of 3 day workshops in population education for primary and secondary public school teachers in Baltimore, Maryland was described and the results of an evaluation study of the program were presented.  During 1972-1973, 9 workshops were conducted by the Baltimore Urban Life-Population Education Institutes.  Since the program was innovative, the approach used in the workshops was modified over time.  The workshop program and activities were changed after the 3rd workshop and after the 6th workshop.  The changes were in the direction of making the program less formal, relying less on guest speakers, and increasing the role of the teachers in workshop projects.  Teachers who attended the workshops were given a pre-workshop and a post-workshop population knowledge test.  Teachers who attended the 1st-3rd workshops showed less increase in knowledge than those who attended later workshops.  The teachers who attended the 7th-9th workshops, in which teacher participation was maximized, showed the greatest increase in knowledge.  Secondary teachers also showed greater increases in post-workshop knowledge than primary school teachers.  This finding suggested that separate workshops should be conducted for primary and secondary school teachers.  A 2nd post-workshop test was conducted approximately 1 year later.  The 2nd post-workshop test scores were higher than the pre-test scores but somewhat lower than the 1st post-workshop test scores; however, more teachers reported that they devoted class time to population issues at the time of the 2nd post-workshop test than at the time of the 1st post-workshop test.  Workshop participants eventually developed a series of population education which were integrated into the cirriculum of the public school system.


Antenatal defaulters.

Antenatal defaulters.


Educating the midwife for her changing role.


Bone marrow examination: how to make it less frightening for your patients ... and you.


Improving fire safety with posted procedures.


Family system therapy. New way to help families in trouble.


Uptake and liberation of mepacrine in blood platelets. 1. Isolated platelets of guinea pigs incubated in Tyrode showed a rapid accumulation of 14C-mepacrine which was less dependent on temperature than that of 14C-5-hydroxytryptamine (5HT). 2. The uptake of mepacrine was not inhibited by imipramine, cocaine, ouabain, KCN, NaF, and reserpine. 3. Various 5HT-liberating drugs, e.g. Ro 4-1284 (benzoquinolizine derivative with reserpine-like action), amphetamine, tyramine and imipramine did not markedly affect the 14C-mepacrine content of platelets previously loaded with this compound. 4. Thrombin and chlorpromazine caused a liberation of 14C-mepacrine from the platelts which was however, less pronounced than that of 14C-5HT. 5. From these and previous findings it is concluded that 14C-mepacrine accumulates in the 5HT storage organelles by a reserpine-insensitive mechanism not dependent on an active transport at the cytoplasmatic membrane level.


The cheerful operation: total hip replacement.


Caring for the totally dependent patient. Some traps - some guidelines. Nursing grand rounds.


The fine example.

The fine example.


Safety precautions: protecting your patients and yourself. Part three.


Physical examination. Part 18. Neurological examination.


What if you didn't have inservice education or tell the doctors their handmaidens are back.


Pediatric nurse practitioner. A primary manager of well-child care.


Editorial: Tomorrow.

Editorial: Tomorrow.


Osteogenesis imperfecta.

Osteogenesis imperfecta.


Internal fixation of fractures using the basic principles of the Swiss study.


Electro-spinal instrumentation; a new look at pediatric scoliosis.


ANA convention: 1976.

ANA convention: 1976.


Information overload.

Information overload.


The Unification Model in Nursing.

The Unification Model in Nursing.


You can come home again.

You can come home again.


Making clinical assignments.

Making clinical assignments.


Community nurse practitioners: another assessment.


An American nurse at the London Hospital.


The tarnished Image.

The tarnished Image.


Assessment of alcohol abuse.

Assessment of alcohol abuse.


Infant care concerns of primigravida mothers and nursing practice: two models.


The expanded role of the nurse: a systems analysis.


Accreditation of Canadian baccalaureate programmes in nursing.


Experiential learning in the classroom.

Experiential learning in the classroom.


Sudden infant death syndrome: an approach to management.


Radiologic evaluation of the patient with suspected pulmonary thromboembolic disease. The risks of anticoagulant and surgical therapy for pulmonary thromboembolic disease make a high degree of diagnostic certainty imperative. The pitfalls inherent in basing the diagnosis on clinical and laboratory information are discussed, and the radiologic and isotopic studies available to the clinician are presented, with special emphasis on their sensitivity and specificity and guidelines for their intelligent use.


Medical treatment of the adolescent drug abuser. An opportunity for rehabilitative intervention. Illnesses related to both the pharmacologic properties of abused substances and their methods of administration often bring the teenager to medical attention and may provide sufficient motivation for the adolescent to seek help beyond the acute problem. Successful treatment of an overdose reaction, an abstinence syndrome, or any other medical complication of drug abuse may give the physician a unique opportunity to begine further evalution for future care.


Crohn's disease.

Crohn's disease. Crohn's disease is manifested by fissure ulcers, transmural inflammation with lymphocytes, and granulomata affecting any part of the gastrointestinal tract. There seems to be a genetic predisposition, conditioned perhaps by environmental factors and possibly a virus. The disease is characterized by spontaneous fistulae, internal and external, anal lesions, stricture formation, and healing by fibrosis. The presenting symptoms are intestinal and systemic (Table 2). Systemic manifestations, such as arthritis, skin lesions, episcleritis and uveitis, pericholangitis, hydronephrosis, renal stones, amyloidosis, arrested maturation, fever, and anemia occur as complications of the intestinal disease. Medical treatment is empirical and supportive. Surgical treatment is reserved for complications. The incidence of Crohn's disease seems to be increasing because our diagnostic techniques are improving, but our treatment is unsatisfactory.


Neuromotor disorders of the esophagus.

Neuromotor disorders of the esophagus. Esophageal motility studies are helpful in diagnosing hypertensive and hypotensive disorders of the esophagus and its sphincters, including the exact measurement of the strength of contraction, temporal sequence and duration of the pathophysiology involved. In addition, the assessment of the extent of neuromotor involvement may be of great help to the surgeon in planning a myotomy. PH metering is probably the most accurate way to assess reflux in hypotonic states.


Abnormal uterine bleeding.

Abnormal uterine bleeding. The management of patients with abnormal uterine bleeding requires a logical, rational approach, and an awareness of etiologic factors. A careful history and examination should attempt to answer these questions: (1) Is the bleeding truly from the uterus? (2) Is the bleeding superimposed upon ovulatory cycles or (3) is the bleeding anovulatory? The endometrial biopsy obtained during the bleeding episode, and the basal temperature chart are diagnostically useful. Massive uterine bleeding not due to a complication of pregnancy, neoplasis, or blood dyscrasia, usually responds immediately to curettage, done in operating room or office; follow-up hormonal therapy with progesterone and a progestational agent should control the episode. More chronic forms of abnormal uterine bleeding are approached by identifying and treating the etiologic cause. If the cause is not correctable (e.g., obesity), most patients will respond satisfactorily to the cyclic administration of a progestational agent, or, if indicated, to induction of ovulation.


Removing a suture-bound drain without surgery.


Assessing operability of lung cancer.

Assessing operability of lung cancer.


The future of cancer nursing.

The future of cancer nursing.


Don't act thunderstruck: save victims of lightning!


This CAT is a revolutionary scanner.

This CAT is a revolutionary scanner.


"M.I. wives" need you.

"M.I. wives" need you.


The wonderful variety of pill-takers.

The wonderful variety of pill-takers.


The dark side of vitamins.

The dark side of vitamins.


The volunteer nurse in Civil Defence the disaster site.


Civil Defence: the functions and responsibilities of a local authority health department in a disaster situation.


Disaster nursing in action--the role of the nurse in floods and earthquakes.


Disaster nursing in action: the role of the nurse in Cullinan refugee camp.


Civil Defence; what can I do?

Civil Defence; what can I do?


The role of the South African Nursing Association.


An open letter to Karen House and all new graduates.


ANA standards for nursing services: considerations in evaluation.


The appraisal process.

The appraisal process.


Welcome to the team!

Welcome to the team!


Legal problems in nursing participation in criminal investigations.


Supervisor overseas. RCN fights for rights.


Editorial: The Federation revisited.

Editorial: The Federation revisited.


The art and science of supervision. The hospital climate.


Involvement attitudes in medical service organizations.


Answers to some common questions about Vetalar (ketamine HCl).


Status of animal technicians in the United States.


Part I: intensive care and the traumatized patient.


Melanoma of the lower eyelid of a dog.

Melanoma of the lower eyelid of a dog.


Spontaneous diabetes mellitus in a turtle.


Laryngeal foreign body as a cause of acute respiratory distress in lizards.


Apperance of persistent hyaloid artery in the bovine eye.


Selective scar revision & elective incision techniques applicable to the legs of horses. Part 3--Application of combined fusiform excision and W-plasty surgical techniques in scar revision on the upper hind legs.


Some points to remember regarding deworming of cattle.


A rare case of maduromycosis of the equine uterus.


Superovulation in the cow using pregnant mare's serum gonadotropin and prostaglandin F2a.


Handling problems of incoming freight.

Handling problems of incoming freight.


Otitis externa--3: bacterial isolation.

Otitis externa--3: bacterial isolation.


Endometritis in the cow as a cause of infertility.


How to motivate your staff.

How to motivate your staff.


Nursing diagnoses and the diagnostic process.


Editorial: Message.

Editorial: Message.


Fracture dislocation of the elbow.

Fracture dislocation of the elbow.


The young adult. The choice is health or illness.


Sick sinus syndrome.

Sick sinus syndrome.


He's 34, a quadriplegic, and gets along just fine.


Problems and prospects in nursing administration.


She's 22 and dealing with a catastrophic illness.


The young adult. Guide to health assessment.


Her ten days in September had to have a meaning.


The young adult. Taking a sexual history.


The young adult. Stepping into parenthood.


The young adult. Adjusting to single parenting.


Congenital adrenal hyperplasia.

Congenital adrenal hyperplasia.


Symposium on the battered child.

Symposium on the battered child.


New hope for patients with trigeminal neuralgia.


Independent practice via pontoon boat.

Independent practice via pontoon boat.


Suffering as viewed in six different cultures.


Unit-dose medication: a nursing perspective.


Reminiscing.

Reminiscing.


Protocols for the nurse practitioner: uses and problems.


Detoxifying barbiturate addicts: hints for psychiatric staff.


The nurse and the hospitalized mentally ill physician.


A nurse can be a man or a woman.

A nurse can be a man or a woman.


Epidemic.

Epidemic.


Multidrug-resistant Proteus rettgeri: an emerging problem. The recent development of multidrug-resistant strains of Proteus rettgeri prompted a 6-year review of infections with this organism. Ninety percent of infections involved the urinary tract. Fifty percent of infections occurred on the neurology ward, where a progressive annual increase in attack rate was noted. Statistically significant (P less than 0.005) increases in total length of hospitalization, length of hospitalization before infection, presence and duration of indwelling Foley catheterization, prior exposure to antibiotics, and the prevalence of paraplegia were present in P. rettgeri urinary tract infections as compared with a control group. A progressive increase in resistance to kanamycin, streptomycin, ampicillin, and gentamicin occurred during 6 years. Disc diffusion sensitivities of recent isolates show total resistance to commonly tested antibiotics. Eighty percent or more of strains are inhibited, however, by 3.13 mug/ml of amikacin and cefoxitin, and 0.4 mug/ml of ticarcillin.


Why consider a prenuptial agreement?

Why consider a prenuptial agreement?


A tumor classification system.

A tumor classification system.


Editorial: A glimpse of the OR nurse in the 21st century.


ANA changes certification program.

ANA changes certification program.


What future for nursing?

What future for nursing?


FDA regulation of drugs, devices.

FDA regulation of drugs, devices.


OR of the future: implications for design.


Significance of roles in future OR nursing.


Nursing's role in future health care.

Nursing's role in future health care.


OR environment: a surgeon's view.

OR environment: a surgeon's view.


The balance of caring.

The balance of caring.


Considerations for OR nurses returning to school.


Future methods for control of nosocomial infection.


Solution to the solutions used for OR decontamination.


The Center for Disease Control.

The Center for Disease Control.


Selected issues confronting community health nursing. Part II.


Sleep and the treatment of insomnia.

Sleep and the treatment of insomnia.


Urinary tract infection in children: general practice survey. Urinary tract infection was in 15 per cent of 804 children presenting in general practice with symptoms suggestive of infection. Only 18 per cent of children with specific urinary symptoms and eight per cent of those with non specific symptoms were infected. All children with a proven urinary infection were investigated radiologically, and one third of these had an abnormality on a micturition cystourethrogram or intravenous pyelogram. Urine culture is the only way of detecting urinary infection, and radiological investigation is essential in all cases of proven infection.


Nurses and job satisfaction. A review of some research findings.


Patterns of infant feeding.

Patterns of infant feeding.


Meeting the challenge of nursing education today in hospital schools of nursing. A case for first aid?


Innovation through participation.

Innovation through participation.


Critique of "Effect of an Experimental Teaching Program on Postoperative Ventilatory Capacity.


Critical issues in access to data.

Critical issues in access to data.